A nurse is administering a medication to a client. The nurse identifies the client has an allergy to the medication after it has been administered. Which of the following actions should the nurse take?

Notify the facility's risk management team.

Assess the client for a change in condition.

Place an incident report in the client's electronic medical record.

Administer an antidote before notifying the provider.

Answer and Explanation

The Correct Answer is B

A.   While it may be necessary to notify risk management eventually, the immediate priority is to ensure the client's safety and well-being.
B.   The nurse should promptly assess the client for signs and symptoms of an allergic reaction and initiate appropriate interventions as necessary.
C.   Documentation of the medication error and allergic reaction should be completed after ensuring the client's immediate needs are addressed.
D.   Administering an antidote may be appropriate in certain situations, but the nurse should first assess the client's condition and follow established protocols for managing allergic reactions.

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Correct Answer is C

Explanation

A. This response is associated with cranial nerve II, the optic nerve.

B. Tongue position is associated with cranial nerve XII, the hypoglossal nerve.

C. A symmetrical smile is indicative of cranial nerve VII, the facial nerve.

D. This action is associated with cranial nerve XI, the accessory nerve.

A. "I will take 250 milligrams of calcium once per day." B. "I will decrease my intake of dairy products." C. "I will walk three times per week." D. "I will avoid exposure to the sun."

Correct Answer is C

Explanation

A. Adequate calcium intake is essential for bone health; however, the recommended daily intake for older adults is higher than 250 milligrams., approximately 1200 mg.
B. Dairy products are a good source of calcium and vitamin D, both important for bone health; decreasing intake may increase the risk of osteoporosis.

C. Weight-bearing exercises, such as walking, help strengthen bones and reduce the risk of osteoporosis.
D. Sun exposure is necessary for the production of vitamin D, which aids in calcium absorption and bone health.

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A nurse is administering a medication to a client. The nurse identifies the client has an allergy to the medication after it has been administered. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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